Organization Active NPI

Asif Rafi MD Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1073918769
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A78785 Issued in CA
Legal business name
ASIF RAFI MD INC
Practice address
11500 W. Olympic Blvd
Suite 626
Los Angeles, CA 90064-1530
Phone
(424) 256-2984
Fax
(424) 273-1781
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asif Rafi, MDNPI 1265549455
Title
Ceo
Phone
(424) 256-2984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A78785 CA Primary

Addresses

Primary practice location

11500 W. Olympic Blvd
Suite 626
Los Angeles, CA 90064-1530

Mailing address

11500 W. Olympic Blvd
Suite 626
Los Angeles, CA 90064-1530
Phone (424) 256-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211000896 CA Part B Supplier - Clinic/Group Practice 3779805593 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2093536Asif Rafi MD Inc11500 W Olympic Blvd Ste 626, Los Angeles, CA 90064Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Locations

11500 W Olympic Blvd
Ste 626
Los Angeles, CA 90064
Phone (310) 666-9851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1073918769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W. OLYMPIC BLVD",
            "address_2": "SUITE 626",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641530",
            "telephone_number": "424-256-2984",
            "fax_number": "424-273-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W. OLYMPIC BLVD",
            "address_2": "SUITE 626",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641530",
            "telephone_number": "424-256-2984",
            "fax_number": "424-273-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIF RAFI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "RAFI",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-256-2984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A78785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.